Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Recurrent Painful Blisters On Penis
Question: Hello,
Some blister, itching and redness on my penis. I have this problem for last 3 years. Its start one time for every 2 months and regularly pain for 2-3 days. Presently I am using clotrimazole & fucidin cream and fluconazole 150 mg tablet as recommended by Dr. XXXXXXX Its relieve till then I am use this cream and tablet and when I dont use then after some days its again started.
I have attached some pictures of penis.
Kindly advise the best medicine so that the same will remove forever.
Best regards
Some blister, itching and redness on my penis. I have this problem for last 3 years. Its start one time for every 2 months and regularly pain for 2-3 days. Presently I am using clotrimazole & fucidin cream and fluconazole 150 mg tablet as recommended by Dr. XXXXXXX Its relieve till then I am use this cream and tablet and when I dont use then after some days its again started.
I have attached some pictures of penis.
Kindly advise the best medicine so that the same will remove forever.
Best regards
Brief Answer:
Recurrent herpes genitalis
Detailed Answer:
Hello,
Welcome to healthcare magic.
I understand from your query that you are having repeated episodes of painful blisters on your penis.
I have seen the clinical pictures that you have attached.
From your history and photographs, I would consider the possibility of genital herpes.
Herpes is a viral infection which is transmitted sexually. The virus stays in the nerve endings and causes breakouts when the body ' s immunity is lowered.
You need to take a course of antiviral tablet called Acyclovir during the active episodes.
However, if you are getting more than 6 episodes per year, you may benefit from suppressive therapy. In this, you need to take Acyclovir daily for 6 months whether or not you have the blisters. This will suppress the virus and reduce the frequency of outbreaks.
Acyclovir is not an over the counter medicine. Please get it prescribed by your dermatologist.
Hope this helps you.
Take care.
Regards,
Dr. Johny Chacko
Recurrent herpes genitalis
Detailed Answer:
Hello,
Welcome to healthcare magic.
I understand from your query that you are having repeated episodes of painful blisters on your penis.
I have seen the clinical pictures that you have attached.
From your history and photographs, I would consider the possibility of genital herpes.
Herpes is a viral infection which is transmitted sexually. The virus stays in the nerve endings and causes breakouts when the body ' s immunity is lowered.
You need to take a course of antiviral tablet called Acyclovir during the active episodes.
However, if you are getting more than 6 episodes per year, you may benefit from suppressive therapy. In this, you need to take Acyclovir daily for 6 months whether or not you have the blisters. This will suppress the virus and reduce the frequency of outbreaks.
Acyclovir is not an over the counter medicine. Please get it prescribed by your dermatologist.
Hope this helps you.
Take care.
Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Hello,
Thank you so much for your quick reply. can u confirm the mg of the acyclovir tablet as it is 200 mg, 400 mg & 800 mg.
Is there any side effects to have this tablet?
Should we have this tablet after lunch or after breakfast?
Kindly advise.
Thank you so much for your quick reply. can u confirm the mg of the acyclovir tablet as it is 200 mg, 400 mg & 800 mg.
Is there any side effects to have this tablet?
Should we have this tablet after lunch or after breakfast?
Kindly advise.
Brief Answer:
Acyclovir dosage
Detailed Answer:
Hello,
The dosage for an active episode is 400 mg 3 times a day after meals for 5 days.
Suppressive dosage will be determined by the doctor based on your clinical response.
There are no major side effects of this tablet. But since it is excreted by the kidneys, you need to take lots of water while on this tablet.
Do consult your dermatologist before starting the tablet. This is not an over the counter medicine and needs a prescription.
Hope this helps you.
Take care,
Regards,
Dr. Johny Chacko
Acyclovir dosage
Detailed Answer:
Hello,
The dosage for an active episode is 400 mg 3 times a day after meals for 5 days.
Suppressive dosage will be determined by the doctor based on your clinical response.
There are no major side effects of this tablet. But since it is excreted by the kidneys, you need to take lots of water while on this tablet.
Do consult your dermatologist before starting the tablet. This is not an over the counter medicine and needs a prescription.
Hope this helps you.
Take care,
Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello,
Thank you for your reply. Please find below my queries:-
1. In your first email you have written that we are to take acyclovir daily for 6 months and in your second email you have written that we are to take acyclovir 3 times a day for 5 days. Kindly clarify.
2. You have written that EXCRETED BY THE KIDNEYS. That means acyclovir tablet will effect on kidneys. Kindly confirm.
3. Is any side effect on our Lever. Kindly confirm.
4. How much water we have to take during to have this tablet.
5. Please confirm that to use Acyclovir tablet this disease will remove forever.
Kindly confirm my above points to start a course at the earliest as I am suffering.
Your early reply will be highly appreciated.
Best regards
Thank you for your reply. Please find below my queries:-
1. In your first email you have written that we are to take acyclovir daily for 6 months and in your second email you have written that we are to take acyclovir 3 times a day for 5 days. Kindly clarify.
2. You have written that EXCRETED BY THE KIDNEYS. That means acyclovir tablet will effect on kidneys. Kindly confirm.
3. Is any side effect on our Lever. Kindly confirm.
4. How much water we have to take during to have this tablet.
5. Please confirm that to use Acyclovir tablet this disease will remove forever.
Kindly confirm my above points to start a course at the earliest as I am suffering.
Your early reply will be highly appreciated.
Best regards
Brief Answer:
Acyclovir details
Detailed Answer:
Hello,
Let me clarify your questions-
1. As I have mentioned in my first mail,there are 2 types of acyclovir regimes. One is to treat the active episode what you are currently having. In this regime, on taking the medicines, the active lesions will subside. However, they may recur again as and when the body's immunity goes low. Then, you will have to take the medicine again.
The other regime is suppressive therapy. In this, you continue taking acyclovir daily whether or not you get blisters. This will suppress recurrent episodes. Usually, the course if 6 months. Once you stop, you may still get blisters but the frequency of episodes will come down. This regime is usually given if you are getting more than 6 episodes per year.
2.Yes, Acyclovir could affect kidneys when taken on a daily basis as in suppressive regime. Hence, your doctor will monitor kidney tests once in 6 months.
3. There is not much of side effect on the liver.
4. Upto 2 litres of water per day is sufficient.
5. As I have mentioned previously, the virus will lie dormant in the nerve endings and can cause break outs every now and then. This is something like a common cold which you get whenever body's resistance is low. Hence, taking acyclovir will not remove the disease forever. It will only reduce the frequency of recurrences.
Do consult a dermatologist before starting therapy.
Hope this answers your queries.
Take care.
Regards,
Dr. Johny Chacko
Acyclovir details
Detailed Answer:
Hello,
Let me clarify your questions-
1. As I have mentioned in my first mail,there are 2 types of acyclovir regimes. One is to treat the active episode what you are currently having. In this regime, on taking the medicines, the active lesions will subside. However, they may recur again as and when the body's immunity goes low. Then, you will have to take the medicine again.
The other regime is suppressive therapy. In this, you continue taking acyclovir daily whether or not you get blisters. This will suppress recurrent episodes. Usually, the course if 6 months. Once you stop, you may still get blisters but the frequency of episodes will come down. This regime is usually given if you are getting more than 6 episodes per year.
2.Yes, Acyclovir could affect kidneys when taken on a daily basis as in suppressive regime. Hence, your doctor will monitor kidney tests once in 6 months.
3. There is not much of side effect on the liver.
4. Upto 2 litres of water per day is sufficient.
5. As I have mentioned previously, the virus will lie dormant in the nerve endings and can cause break outs every now and then. This is something like a common cold which you get whenever body's resistance is low. Hence, taking acyclovir will not remove the disease forever. It will only reduce the frequency of recurrences.
Do consult a dermatologist before starting therapy.
Hope this answers your queries.
Take care.
Regards,
Dr. Johny Chacko
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
